摘要
目的探讨脊髓损伤患者康复初期的焦虑抑郁和残疾程度,为进一步了解脊髓损伤患者康复干预时机对焦虑抑郁状况和残疾程度的影响提供理论依据。方法采用一般资料问卷、医院焦虑抑郁量表和世界卫生组织的“残疾评定方案2.0”对温州市某三级甲等医院康复科的123例患者进行问卷调查。结果脊髓损伤患者的抑郁分量表得分为(7.69±2.68)分、焦虑分量表得分为(8.37±2.63)分、“残疾评定方案2.0”量表总均分为(15.41±2.57)分。伤害等级、焦虑和抑郁是患者康复初期残疾程度的显著影响因素(P<0.05)。结论脊髓损伤患者在康复初期焦虑抑郁和残疾程度均处于较高水平,且残疾程度受伤害等级、焦虑和抑郁的影响。提示临床治疗时应该关注患者的情绪状态及残疾程度,鼓励患者增加康复信心,促使其早日回归社会。
Objective To investigate the degree of anxiety,depression and disability of patients with spinal cord injury at the early stage of rehabilitation and provide theoretical reference of intervene timing influence on the degree of anxiety,depression and disability.Methods A general information questionnaire,Hospital Anxiety and Depression Scale(HAD)and the World Health Organization Disability Assessment Schedule 2.0(WHO-DAS 2.0)were used to investigate 123 patients in the rehabilitation department of a hospital in a Wenzhou 3A-level hospital.Results The scores of depression subscale,anxiety subscale and WHO-DAS 2.0 were(7.69±2.68),(8.37±2.63)and(15.41±2.57)respectively.Injury grade,HAD-A and HAD-D were significant influencing factors in the early stage of rehabilitation(P<0.05).Conclusion Anxiety,depression are at a higher level in patients with spinal cord injury at the early stage of rehabilitation,and the degree of disability was affected by injury grade,anxiety and depression,which suggesting that attention should be paid to the change of patients'emotional state and disability level in clinical treatment,encouraging patients to increase their confidence in rehabilitation and prompting them to return to society as soon as possible.
作者
侯灵仙
李若和
柳丽萍
林叶艳
施谧
李碧燕
HOU Lingxian;LI Ruohe;LIU Liping;LIN Yeyan;SHI Mi;LI Biyan(Department of Rehabilitation,Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine,Wenzhou 325000,China;Department of Orthopedics,Wenzhou Traditional Chinese Medicine Hospital,Wenzhou 325000,China;Department of Traumatic Orthopedics,the Second Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China;Department of Orthopedics,Shunde Peace Surgery Hospital,Foshan 528000,China)
出处
《护理管理杂志》
2021年第1期6-9,14,共5页
Journal of Nursing Administration
基金
温州市科技计划项目(Y20160546)。
关键词
脊髓损伤
情绪状态
残疾程度
spinal cord injury
emotional state
disability
